Individual
MR. GARY S RUKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1301 PYOTT RD STE 101, LAKE IN THE HILLS, IL 60156-9795
(847) 916-7160
Mailing address
505 SOMERSET CT, ALGONQUIN, IL 60102-1941
(847) 650-7709
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
178006202
IL
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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